Individual provider Active NPI

Miranda Morningstar, LSW

  • Social Worker
  • Lewisburg, PA
National Provider Identifier
1659627412
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129675 Issued in PA
Practice address
32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Phone
(570) 522-0304
Fax
(570) 522-0475
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW129675 PA Primary

Addresses

Primary practice location

32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770

Mailing address

32 Whisper Creek Dr
Suite 7
Lewisburg, PA 17837-7770
Phone (570) 522-0304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW129675PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emery Behavioral Health Services, Inc. Social Worker PastSince Jul 2, 2007 Accepting new patients
Emery Behavioral Health Services, Inc Social Worker Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1659627412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WHISPER CREEK DR",
            "address_2": "SUITE 7",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377770",
            "telephone_number": "570-522-0304",
            "fax_number": "570-522-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WHISPER CREEK DR",
            "address_2": "SUITE 7",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377770",
            "telephone_number": "570-522-0304",
            "fax_number": "570-522-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "MIRANDA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.